How much rates vary
Facilitymedian $1,072 · 10th to 90th $468 to $1,738Professionalmedian $525 · 10th to 90th $155 to $851
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $363.08 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $93.33 | $263.03 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $602.56 | $602.56 |
BCBS Idaho Setting Facility Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,862.09 | Facility | None | $616.60 | $1,318.26 | $1,862.09 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $436.52 | $537.03 | $616.60 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $190.55 | Professional | 26 · Professional part | $134.90 | $158.49 | $190.55 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,230.27 | Facility | None | $501.19 | $1,047.13 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $691.83 | Professional | None (both parts) | $234.42 | $234.42 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $69.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $165.96 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,584.89 | $1,584.89 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,230.27 | Facility | None | $588.84 | $851.14 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $676.08 Typical High $851.14 | Professional | None (both parts) | $446.68 | $676.08 | $851.14 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $158.49 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $501.19 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $173.78 | Professional | None (both parts) | $33.11 | $33.11 | $173.78 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $562.34 | Facility | None | $131.83 | $131.83 | $562.34 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $131.83 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $131.83 | $562.34 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,380.38 | Facility | None | $707.95 | $1,071.52 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $457.09 Median $562.34 Typical High $676.08 | Professional | None (both parts) | $457.09 | $562.34 | $676.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $134.90 | $165.96 | $204.17 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $398.11 Typical High $467.74 | Professional | TC · Technical part | $316.23 | $398.11 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $1,348.96 | Facility | None | $251.19 | $257.04 | $1,348.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $251.19 | $363.08 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $269.15 | $457.09 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $93.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $354.81 | $794.33 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $181.97 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $72.44 | $173.78 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $691.83 Typical High $691.83 | Professional | FX · Film X-ray | $478.63 | $691.83 | $691.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $309.03 | $363.08 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $186.21 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $74.13 | $173.78 | $173.78 |
Where Idaho sits
The same service costs 5.6 times more in Wyoming than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 14th of 51
$562
WY $1,072TX $191
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.